| NPI | 1730535006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 4967) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 0496) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2020-12-11 |